Hoop Dreams And Bone Nightmares

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Hoop Dreams And Bone Nightmares - Page #1

Author: Dustin Marshall, MD Co Author #1: E Ray Stewart, MD Co Author #2: J Russ Guin, MD Senior Editor: Drew Duerson, MD Editor: Mark Matusak, DO Patient Presentation: 19-year-old women's college basketball player with no notable past medical history presented to a sports medicine clinic with a 2-week history of left shin pain. She denies any trauma to the area. She states the pain initially felt like shin splints and would gradually worsen with activity. Recently, the pain has become sharp and tender in one spot even while at rest. She states the pain is 8 out of 10 in severity now and worse with walking and jumping. The pain will occasionally cause her to wake up at night. She has tried diclofenac patches to the area with minimal relief. History: The patient has no prior history of leg pain or pathology. Physical Exam: Gait: Non-antalgic. Pain with single leg hop on the left side. Left Lower Extremity: No notable swelling or ecchymoses. Point tenderness to palpation on bony prominence of anterior portion of mid tibia approximately 20 cm distal to tibial tubercle. Full active range of motion and full strength of knee and ankle with no tenderness. Sensation intact. Right Lower Extremity: No notable swelling, or ecchymoses. Nontender to palpation. Full range of motion. Strength and sensation intact. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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